Provider Demographics
NPI:1336251511
Name:CAPUTI, LORI ANN (OD)
Entity type:Individual
Prefix:DR
First Name:LORI
Middle Name:ANN
Last Name:CAPUTI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1950 OLD GALLOWS RD
Mailing Address - Street 2:SUITE 520
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3990
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:703-991-0514
Practice Address - Street 1:11100 SW 93RD COURT RD
Practice Address - Street 2:SUITE 15
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34481-5187
Practice Address - Country:US
Practice Address - Phone:352-291-2000
Practice Address - Fax:352-387-0944
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2018-01-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI455152W00000X
FLOPC2579152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL20404Medicare ID - Type Unspecified
FL39382Medicare UPIN